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May 1990, Vol 144, No. 5 >
Article | May 1990

Gonococcal Conjunctivitis in Prepubertal Children FREE

Lisa S. Lewis, MD; Tracy A. Glauser, MD; Mark D. Joffe, MD
[+] Author Affiliations

Accepted for publication July 19, 1989.

Reprint requests to Washington University School of Medicine, Department of Pediatrics, St Louis Children's Hospital, 400 S Kingshighway Blvd, St Louis, MO 63110 (Dr Lewis).


Am J Dis Child. 1990;144(5):546-548. doi:10.1001/archpedi.1990.02150290040022.
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• Four prepubertal children had confirmed gonococcal conjunctivitis. All were febrile and had hyperpurulent conjunctival discharge with periorbital inflammation. Cultures of pharyngeal, rectal, and genital specimens on selective media excluded infection at other sites. Detailed social evaluation revealed no evidence or suspicion of sexual abuse. Isolated gonococcal conjunctivitis occurs in prepubertal children. Unlike gonococcal infections at other locations, a nonsexual mode of transmission may exist. However, a careful physical examination and detailed social evaluation, looking for signs of sexual abuse, must be obtained in any prepubertal child with a gonococcal infection.

(AJDC. 1990;144:546-548)

REFERENCES

1 +
Wan WL, Farkas GC, May WN, Robin JB.  The clinical characteristics and course of adult gonococcal conjunctivitis . Am J Ophthalmol . 1986;;102:575-583.
2 +
Ullman S, Roussel TJ, Forster RK.  Gonococcal keratoconjunctivitis . Surv Ophthalmol . 1987;; 32:199-208.
3 +
Legido A, Joffe M.  Gonococcal conjunctivitis mimicking orbital cellulitis in a young adolescent . AJDC . 1989;;143:443.
4 +
Frazier JJ, Miller J, Pickering LK.  Orbital cellulitis due to Neisseria gonorrhoeae in an enucleated socket . Arch Ophthalmol . 1979;;97:2345.
5 +
Whittington WL, Rice RJ, Biddle JW, Knapp JS.  Incorrect identification of Neisseria gonorrhoeae from infants and children . Pediatr Infect Dis J . 1988;;7:3-10.
6 +
Bruins SC, Tight RR.  Laboratory-acquired gonococcal conjunctivitis . JAMA . 1979;;241:274.
7 +
Valenton MJ, Abendanio R.  Gonorrheal conjunctivitis: complication after ocular contamination with urine . Can J Ophthalmol . 1973;;8:421-427.
8 +
Diena BB, Wallace R, Ashton FE, Johnson W, Patenaude B.  Gonococcal conjunctivitis: accidental infection . Can Med Assoc J . 1976;;115:609-612.
9 +
Alfonso E, Friedland B, Hupp S, et al.  Neisseria gonorrhoeae conjunctivitis: an outbreak during an epidemic of acute hemorrhagic conjunctivitis . JAMA . 1983;;250:794-795.
10 +
Shore WB, Winklestein JA.  Nonvenereal transmission of gonococcal infections to children . J Pediatr . 1971;;79:661-663.
11 +
Doyle JO.  Accidental gonococcal infection of the eyes in children . Br Med J . 1972;;1:88.
12 +
Doyle JO.  Accidental gonococcal infection of a child's eye: unusual source of infection . Br J Vener Dis . 1974;;50:315-316.
13 +
Centers for Disease Control.  STD treatment guidelines . MMWR . 1985;;34:1-35.
14 +
Peter G, Hall CB, Lepow ML, et al, eds. Report of the Committee on Infectious Diseases . 21st ed. Elk Grove Village, Ill: American Academy of Pediatrics; 1988;:194.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Wan WL, Farkas GC, May WN, Robin JB.  The clinical characteristics and course of adult gonococcal conjunctivitis . Am J Ophthalmol . 1986;;102:575-583.
2 +
Ullman S, Roussel TJ, Forster RK.  Gonococcal keratoconjunctivitis . Surv Ophthalmol . 1987;; 32:199-208.
3 +
Legido A, Joffe M.  Gonococcal conjunctivitis mimicking orbital cellulitis in a young adolescent . AJDC . 1989;;143:443.
4 +
Frazier JJ, Miller J, Pickering LK.  Orbital cellulitis due to Neisseria gonorrhoeae in an enucleated socket . Arch Ophthalmol . 1979;;97:2345.
5 +
Whittington WL, Rice RJ, Biddle JW, Knapp JS.  Incorrect identification of Neisseria gonorrhoeae from infants and children . Pediatr Infect Dis J . 1988;;7:3-10.
6 +
Bruins SC, Tight RR.  Laboratory-acquired gonococcal conjunctivitis . JAMA . 1979;;241:274.
7 +
Valenton MJ, Abendanio R.  Gonorrheal conjunctivitis: complication after ocular contamination with urine . Can J Ophthalmol . 1973;;8:421-427.
8 +
Diena BB, Wallace R, Ashton FE, Johnson W, Patenaude B.  Gonococcal conjunctivitis: accidental infection . Can Med Assoc J . 1976;;115:609-612.
9 +
Alfonso E, Friedland B, Hupp S, et al.  Neisseria gonorrhoeae conjunctivitis: an outbreak during an epidemic of acute hemorrhagic conjunctivitis . JAMA . 1983;;250:794-795.
10 +
Shore WB, Winklestein JA.  Nonvenereal transmission of gonococcal infections to children . J Pediatr . 1971;;79:661-663.
11 +
Doyle JO.  Accidental gonococcal infection of the eyes in children . Br Med J . 1972;;1:88.
12 +
Doyle JO.  Accidental gonococcal infection of a child's eye: unusual source of infection . Br J Vener Dis . 1974;;50:315-316.
13 +
Centers for Disease Control.  STD treatment guidelines . MMWR . 1985;;34:1-35.
14 +
Peter G, Hall CB, Lepow ML, et al, eds. Report of the Committee on Infectious Diseases . 21st ed. Elk Grove Village, Ill: American Academy of Pediatrics; 1988;:194.

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